Mccaffery Kirsten J, Shepherd Heather L, Trevena Lyndal, Juraskova Ilona, Barratt Alexandra, Butow Phyllis N, Hazell Karen Carey, Tattersall Martin H N
School of Public Health, University of Sydney, NSW 2006, Australia.
Z Arztl Fortbild Qualitatssich. 2007;101(4):205-11. doi: 10.1016/j.zgesun.2007.02.025.
This paper describes the current position of shared decision-making (SDM) within the Australian health care system. Australian health care includes a mixture of public and private practice governed by both regional and national policy. Support for SDM exists through guidelines and support for interventions to increase participation. However, there is no clear overall policy framework for SDM in Australia. The result is recognition that consumer involvement is important yet there are limited resources and infrastructure, and no clear strategy to support implementation. Barriers to SDM at the macro, meso and micro levels of health care are described. Efforts to support consumer involvement to date have been targeted to the supply side of health care. There is now awareness of the need to target the demand side by educating consumers to ask for information and involvement in their health care.
本文描述了澳大利亚医疗体系中共同决策（SDM）的现状。澳大利亚的医疗包括由地区和国家政策共同管理的公立和私立医疗机构。通过指南以及对旨在提高参与度的干预措施的支持，共同决策得到了一定的支持。然而，澳大利亚并没有明确的共同决策整体政策框架。结果是，虽然认识到消费者参与很重要，但资源和基础设施有限，且缺乏支持实施的明确战略。文中描述了医疗保健宏观、中观和微观层面共同决策的障碍。迄今为止，支持消费者参与的努力主要针对医疗保健的供应方。现在人们意识到有必要通过教育消费者要求获取信息并参与自身医疗保健来针对需求方。
